| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,130 |
21,428 |
$1.60M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,252 |
8,955 |
$962K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27,367 |
25,989 |
$376K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,963 |
3,929 |
$269K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,508 |
3,463 |
$240K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,308 |
3,282 |
$226K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,406 |
2,359 |
$165K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,196 |
4,934 |
$111K |
| 90686 |
|
3,347 |
3,313 |
$64K |
| 90713 |
|
2,752 |
2,724 |
$54K |
| 90700 |
|
2,741 |
2,713 |
$53K |
| 90688 |
|
2,361 |
2,354 |
$47K |
| 99173 |
|
9,161 |
9,051 |
$44K |
| 90651 |
|
2,250 |
2,228 |
$44K |
| 90648 |
|
2,174 |
2,151 |
$42K |
| 92551 |
|
8,080 |
7,983 |
$41K |
| 90670 |
|
1,802 |
1,775 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
211 |
205 |
$34K |
| 90680 |
|
1,573 |
1,556 |
$31K |
| 90621 |
|
1,303 |
1,289 |
$25K |
| 90716 |
|
904 |
895 |
$18K |
| 90744 |
|
861 |
853 |
$17K |
| 90734 |
|
863 |
847 |
$17K |
| 90633 |
|
783 |
775 |
$15K |
| 90707 |
|
753 |
743 |
$15K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
164 |
163 |
$11K |
| 90677 |
|
365 |
364 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
190 |
183 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
547 |
380 |
$5K |
| 90715 |
|
157 |
155 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
126 |
$3K |
| 87205 |
|
446 |
280 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
699 |
474 |
$1K |
| 90687 |
|
49 |
46 |
$890.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$240.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
16 |
14 |
$234.00 |